Handbook of insanity for practitioners and students . RESTRAINT AND HYPNOTICS. 215 Even the milder grades of mania should not be treatedin the family, because the necessary removal of externalirritants is there impossible, and the patient cannot bekept constantly in bed. This is often attainable in a hos-pital. When the motor excitement is pronounced, an asy-lum is the only proper place for treatment. The possi-bility of isolation is especially important, because whenemployed in moderation, especially in combination withfrequent attempts to bring the patient again among othersand thus to give
Handbook of insanity for practitioners and students . RESTRAINT AND HYPNOTICS. 215 Even the milder grades of mania should not be treatedin the family, because the necessary removal of externalirritants is there impossible, and the patient cannot bekept constantly in bed. This is often attainable in a hos-pital. When the motor excitement is pronounced, an asy-lum is the only proper place for treatment. The possi-bility of isolation is especially important, because whenemployed in moderation, especially in combination withfrequent attempts to bring the patient again among othersand thus to give him opportunity for occupation, isola-tion is the most important aid against maniacal excite-ment. We can generally dispense with mechanical re-straint, or at least get along with the milder measures,such as the application of leather gloves. Permanent re-straint is only justifiable in cases of severe surgical in-juries and threatening exhaustion of the vital powers. Awell-fitted asylum is provided with gardens in which ex-cited patients may walk un
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